| Conitaca Medical Associates,llc | |
|
17674 Mahoning Ave Lake Milton OH 44429-9582 | |
| (330) 654-3600 | |
| (330) 654-3811 |
| Full Name | Conitaca Medical Associates,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17674 Mahoning Ave, Lake Milton, Ohio |
| Authorized Official Name and Position | Martin Escobar (OWNER) |
| Authorized Official Contact | 3306543600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conitaca Medical Associates,llc 17674 Mahoning Ave Lake Milton OH 44429-9582 Ph: (330) 654-3600 | Conitaca Medical Associates,llc 17674 Mahoning Ave Lake Milton OH 44429-9582 Ph: (330) 654-3600 |
| NPI Number | 1477742716 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477742716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |